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Wisconsin rates for HCPCS 73564

Radiologic examination, knee; complete, 4 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.85 / $23.44 / $371.54
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$61.66 / $309.03 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $63.10 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $23.99 / $91.20
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$39.81 / $138.04 / $316.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $53.70 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $69.18 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $16.60 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$61.66 / $104.71 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $52.48 / $162.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $43.65 / $60.26
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.84 / $33.88 / $53.70
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$100.00 / $117.49 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $100.00 / $190.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $23.44 / $45.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $77.62 / $147.91
DeanCare
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$223.87 / $269.15 / $354.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $102.33 / $141.25
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $24.55 / $33.88
DeanCare
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$131.83 / $154.88 / $213.80
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $79.43 / $109.65
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $251.19
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$269.15 / $478.63 / $691.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $104.71 / $302.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $35.48 / $102.33
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $60.26 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $125.89 / $169.82
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$100.00 / $229.09 / $229.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $213.80 / $295.12
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $56.23 / $87.10
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $158.49 / $229.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $208.93 / $295.12
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $30.20 / $51.29
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $60.26 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $61.66 / $144.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $16.98 / $38.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $44.67 / $107.15